Thank you for seeking to serve others on a fun, out-of-the-ordinary adventure! Since you are considering attending a Jacob's Well Mission Trip, we would like to get to know you better. Your answers to all of the following questions will assist you in processing why you want to participate in a mission trip. Your answers will also give the mission trip leaders insight into growth opportunities and strengths to coordinate. We hope you are encouraged by seeing what God is doing in your life as you take the time to complete this questionnaire. May God Bless You On Your Journey!

What is your current connection to Jacob's Well Church?

Please select one option.

Attender
Member
Other

Have you participated in a Mission Trip in the past?

Please select one option.

Yes
No

If yes, when and to where?

Optional

What interests you most regarding participation in this particular trip?

Please list two of your character trait strengths which will be beneficial to the team.

What is your approach to conflict and unexpected events?

Please write your spiritual journey testimony here. (Do you have a saving faith in Jesus Christ? When did you trust in Jesus Christ?)

What is your favorite book of the Bible? What is your favorite Bible verse? Why are these meaningful to you?

What specific skills or hobbies do you have that might benefit the mission trip? (such as carpentry skills, guitar, speaking Spanish)

Do you have any medical conditions that we should be aware of?

Is there anything you would like us to know about you which has not already been asked?

Is there anything you would like us to specifically pray about with/for you regarding this trip?

If you are under 18 years old, are your parents supportive of your participation in this mission trip?

Optional

Do you acknowledge that your registration is not complete until you give a non-refundable $200 deposit to Jacob's Well Church by January 1, 2019?

Please select all that apply.

Yes

Do you acknowledge that if you do not have a passport, you will need to purchase a passport at your own expense?

Please select all that apply.

Yes

Do you acknowledge that you will be required to fundraise (unless you pay for your entire trip out of your own pocket)?

Please select all that apply.

Yes

Payment

Down payment ($200)
I prefer to pay the down payment by check (made out to Jacob's Well Church) ($0)